摘要
目的分析序贯性早期肠内营养在胃癌患者术后康复的治疗效果.方法选取2018年5月—2021年5月到我院接受治疗的84例胃癌患者为研究对象,根据入院编号的单双数分为对照组(单数,n=42)和观察组(双数,n=42).对照组患者术后使用常规早期肠内营养支持,观察组患者术后使用序贯性早期肠内营养支持.观察两组患者术后各指标的恢复时间、炎性因子水平和并发症发生几率.结果观察组患者的胃肠道功能恢复时间、肛门排气时间、经口进食时间、住院时间均明显短于对照组,组间差异无统计学意义(P<0.05).观察组患者的C-反应蛋白和白细胞介素-6水平均明显低于对照组,组间差异无统计学意义(P<0.05).并发症发生率比较,观察组明显低于对照组,差异有统计学意义(P<0.05).结论序贯性早期肠内营养能有效改善胃癌术后患者的临床指标,推动其胃肠功能的恢复,降低炎性因子水平,减少并发症的发生,值得临床进一步推广.
Objective To analyze the therapeutic effect of sequential early enteral nutrition in postoperative rehabilitation of gastric cancer patients.Methods 84 patients with gastric cancer who came to our hospital for treatment from May 2018 to May 2021 were selected for the study,and were divided into a control group(odd number,n=42)and an observation group(even number,n=42)according to the odd and even numbers of admission numbers.The control group received routine early enteral nutrition support after operation,and the observation group received sequential early enteral nutrition support after operation.The postoperative recovery time,inflammatory factor levels and the incidence of complications were observed in the two groups of patients.Results The recovery time of gastrointestinal function,anal exhaust time,oral feeding time,and hospitalization time in the observation group were significantly shorter than those in the control group,the differences between the groups were not statistically significant(P<0.05).The levels of C-reactive protein(CRP)and interleukin-6(IL-6)in the observation group were significantly lower than those in the control group,and the differences between the groups were not statistically significant(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group,the difference between the groups was statistically significant(P<0.05).Conclusion Sequential early enteral nutrition can effectively improve the clinical indicators of postoperative rehabilitation patients with gastric cancer,promote the recovery of gastrointestinal function,reduce the level of inflammatory factors,and reduce the occurrence of complications,which is worthy of further clinical promotion.
作者
姚素萍
李丽
刘倩
张娟
YAO Suping;LI Li;LIU Qian;ZHANG Juan(Department of Internal Oncology,Huaiyin Hospital,Huai'an City,Jiangsu Province,Huai'an Jiangsu,223300,China;Department of Gastroenterology,Huaiyin Hospital,Huai'an City,Jiangsu Province,Huai'an Jiangsu,223300,China)
出处
《反射疗法与康复医学》
2021年第23期131-134,共4页
Reflexology And Rehabilitation Medicine
关键词
胃癌
康复治疗
序贯性早期肠内营养
胃肠功能
C反应蛋白
白细胞介素-6
Gastric cancer
Rehabilitation treatment
Sequential early enteral nutrition
Gastrointestinal function
C-reactive protein
Interleukin-6
